Healthcare Provider Details

I. General information

NPI: 1285139824
Provider Name (Legal Business Name): MARGARET JAYICH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2018
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3851 PIPER ST STE U462
ANCHORAGE AK
99508-6905
US

IV. Provider business mailing address

3851 PIPER ST STE U462
ANCHORAGE AK
99508-6905
US

V. Phone/Fax

Practice location:
  • Phone: 907-562-6262
  • Fax: 907-562-6267
Mailing address:
  • Phone: 907-562-6262
  • Fax: 907-562-6267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number222030
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: